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However, since there are many individual factors that can affect male fertility, its impossible to say for sure whether or not the specific changes caused by smoking are enough to cause infertility but it is clear that smoking does have a negative impact on sperm health and hormone levels which can affect male fertility

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Nguyn Tun Lm, an expert from the WHO in Vit Nam, said the nicotine contained in traditional cigarettes as well as e-cigarettes and HTPs badly affected the health of smokers and passive smokers